ALLYSSA DENISE WATERMAN LPC
NPI 1407509896
Counselor - Professional in Rogersville, MO
About Allyssa Denise Waterman Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALLYSSA DENISE WATERMAN LPC (NPI 1407509896) is an individual professional provider in Rogersville, Missouri, licensed in Missouri (2019044872) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Springfield.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Allyssa Denise Waterman Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Allyssa Waterman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bolivar, MO 65613
- Reassigned Medicare billing, Missouri enrollment
- 249 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROGERSVILLE, MO 65742
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Allyssa Waterman's NPI number?
The NPI number for Allyssa Waterman is 1407509896. It was assigned to this individual provider in the NPPES registry on January 27, 2022. The provider is also known as Ally Waterman Lpc.
Where is Allyssa Waterman located?
Allyssa Waterman practices at 3955 S Farm Road 223, Rogersville, MO 65742. The listed phone number is (417) 812-4440.
What is Allyssa Waterman's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Allyssa Waterman enrolled in Medicare?
Yes. Allyssa Waterman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Allyssa Waterman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Allyssa Waterman reassigns Medicare benefits to Citizens Memorial Healthcare (Bolivar, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Allyssa Waterman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Allyssa Waterman accept?
Health plans from Anthem Blue Cross and Blue Shield, Cox HealthPlans, Medica and Oscar Insurance Company list Allyssa Waterman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Allyssa Waterman was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Allyssa Denise Waterman, LPC · NPI 1407509896
Professional provider in Rogersville, Missouri. Individual provider, active in the CMS NPPES registry since January 27, 2022.
## Identity
- **NPI:** 1407509896 (Entity type: Individual)
- **Enumerated:** January 27, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 2019044872 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 3955 S FARM ROAD 223, Rogersville, MO 65742-8807
- **Phone:** (417) 812-4440 · **Fax:** (417) 208-5880
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Citizens Memorial Healthcare (NPI 1568566131, Bolivar, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1407509896) · Data from the CMS NPPES public registry.